Kiristin Eggett, PSYD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

5309 Issued in FL

Practice address

986 Fostoria Dr
Melbourne, FL 32940-1512

Phone

(321) 307-0083

NPI assigned

Apr 30, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Total Life IncGroup PAC ID 8123433034, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Total Life Inc.

  • Group Psychotherapy Psychologist
  • Jupiter, FL
  • NPI 1053909267
  Care Compare group NPD
• Total Life FL PA

  • Integrative Medicine Physician
  • Potomac, MD
  • NPI 1447057286
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588204800000",
    "number": "1962023903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 FOSTORIA DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401512",
            "telephone_number": "321-307-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 FOSTORIA DR",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329401512",
            "telephone_number": "321-307-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGGETT",
        "first_name": "KIRISTIN",
        "name_prefix": "Dr.",
        "credential": "PSYD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-30",
        "last_updated": "2020-04-30",
        "certification_date": "2020-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "FL",
            "license": "5309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "5309",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Corinne Danielle Edwards
• Warren Christopher Edwards, D.D.S.
• Edx of Brevard, LLC
• Mercedes Eelman
• Shawn Timothy Egan, D.C.
• Maria Claudia Egoroff
• Charles Ehlenberger, M.D.
• Ehsan Y. Sharaf-Eldeen DMD, MD, Facs, P.a.
• Tracy Eichelberger, RRT
• Margaret Eilts

• Psychologist in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.